Billing Manager

Shri Guru Ram Rai Institute ofMedical& Health Sciences; Dehradun; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Shri Guru Ram Rai Institute ofMedical& Health Sciences in Dehradun invites an experienced billing professional to lead hospital billing operations for insurance empanelments. You will oversee claims submission and ensure accuracy and compliance.

The ideal candidate has 8-12 years in hospital billing, experience with TPA/CGHS/ECHS, and strong Excel and HIS skills. MBA/MHA or related certification is preferred; bachelor's in commerce, finance, or healthcare management is required.

Qualifications

• Bachelor's degree in Commerce, Finance, Healthcare Management, Hospital Administration, or a related field.
• MBA/MHA or relevant certification is preferred.
• 8-12 years of experience in hospital billing, with at least 23 years handling insurance/TPA/corporate empanelments.
• Strong knowledge of hospital billing processes and revenue cycle management.
• Familiarity with insurance, TPA, CGHS, ECHS, Ayushman Bharat, ESIC, and corporate billing procedures.
• Proficiency in Hospital Information Systems (HIS) and Microsoft Excel.

Responsibilities

• Manage billing operations for all empanelled insurance, TPA, CGHS, ECHS, Aayushman Bharat.
• Ensure accurate preparation and timely submission of cashless and reimbursement claims.
• Verify bills for completeness, documentation, package compliance, and authorization requirements.
• Monitor pending claims, denials, short payments, and rejections; ensure timely resolution.
• Maintain records of empanelment agreements, tariffs, package rates, and contract terms.
• Ensure compliance with hospital policies, insurer guidelines, and regulatory requirements.
• Supervise and train billing executives and empanelment coordinators.

Skills

Billing operations

Revenue cycle management

MS Excel

HIS (Hospital Information Systems)

Education

Bachelor's degree in Commerce/Finance/Healthcare Management/Hospital Administration

MBA/MHA or relevant certification

Tools

Hospital Information Systems (HIS)

Microsoft Excel

Job description

Role & responsibilities

• Manage billing operations for all empanelled insurance, TPA, CGHS, ECHS, Aayushman Bharat.
• Ensure accurate preparation and timely submission of cashless and reimbursement claims.
• Verify bills for completeness, documentation, package compliance, and authorization requirements.
• Monitor pending claims, denials, short payments, and rejections; ensure timely resolution.
• Maintain records of empanelment agreements, tariffs, package rates, and contract terms.
• Ensure compliance with hospital policies, insurer guidelines, and regulatory requirements.

Supervise and train billing executives and empanelment coordinators.

Preferred candidate profile

• Bachelor's degree in Commerce, Finance, Healthcare Management, Hospital Administration, or a related field.
• MBA/MHA or relevant certification is preferred.
• 8-12 years of experience in hospital billing, with at least 23 years handling insurance/TPA/corporate empanelments.
• Strong knowledge of hospital billing processes and revenue cycle management.
• Familiarity with insurance, TPA, CGHS, ECHS, Ayushman Bharat, ESIC, and corporate billing procedures.
• Proficiency in Hospital Information Systems (HIS) and Microsoft Excel.